IDA MAE PARKS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013012

License Status

NOT RENEWED

Business

First Name

IDA MAE

Last Name

PARKS

Business Name

IDA MAE PARKS

Original Issue Date

12/17/1964

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

03/17/2009